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  1. Remote patient monitoring during COVID-19: an unexpected patient safety benefit. | PSNet

    psnet.ahrq.gov/issue/remote-patient-monitoring-during-covid-19-unexpected-patient-safety-benefit
    July 20, 2022 - Commentary Remote patient monitoring during COVID-19: an unexpected patient safety benefit. Citation Text: Pronovost PJ, Cole MD, Hughes RM. Remote patient monitoring during COVID-19: an unexpected patient safety benefit. JAMA. 2022;327(12):1125-1126. doi:10.1001/jama.2022.2040. Copy C…

  2. Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative care: a mixed methods analysis. | PSNet

    psnet.ahrq.gov/issue/multiple-points-system-failure-underpin-continuous-subcutaneous-infusion-safety-incidents
    December 16, 2020 - Study Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative care: a mixed methods analysis. Citation Text: Brown AJ, Yardley S, Bowers B, et al. Multiple points of system failure underpin continuous subcutaneous infusion safety inciden…

  3. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. | PSNet

    psnet.ahrq.gov/issue/analysis-variation-between-diagnosis-admission-vs-discharge-and-clinical-outcomes-among
    June 22, 2022 - Study Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. Citation Text: Dregmans E, Kaal AG, Meziyerh S, et al. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults…

  4. Patients' online access to their electronic health records and linked online services: a systematic interpretative review. | PSNet

    psnet.ahrq.gov/issue/patients-online-access-their-electronic-health-records-and-linked-online-services-systematic
    September 08, 2021 - Review Patients' online access to their electronic health records and linked online services: a systematic interpretative review. Citation Text: de Lusignan S, Mold F, Sheikh A, et al. Patients' online access to their electronic health records and linked online services: a systematic int…

  5. Health care provider factors associated with patient-reported adverse events and harm. | PSNet

    psnet.ahrq.gov/issue/health-care-provider-factors-associated-patient-reported-adverse-events-and-harm
    June 19, 2019 - Study Health care provider factors associated with patient-reported adverse events and harm. Citation Text: Giardina TD, Royse KE, Khanna A, et al. Health care provider factors associated with patient-reported adverse events and harm. Jt Comm J Qual Patient Saf. 2020;46(5):282-290. doi:…

  6. Fighting a common enemy: a catalyst to close intractable safety gaps. | PSNet

    psnet.ahrq.gov/issue/fighting-common-enemy-catalyst-close-intractable-safety-gaps
    June 30, 2021 - Commentary Fighting a common enemy: a catalyst to close intractable safety gaps. Citation Text: Singh H, Sittig DF, Gandhi TK. Fighting a common enemy: a catalyst to close intractable safety gaps. BMJ Qual Saf. 2021;30(2):141-145. doi:10.1136/bmjqs-2020-011390. Copy Citation Format…

  7. Safety huddles to proactively identify and address electronic health record safety. | PSNet

    psnet.ahrq.gov/issue/safety-huddles-proactively-identify-and-address-electronic-health-record-safety
    January 23, 2019 - Study Safety huddles to proactively identify and address electronic health record safety. Citation Text: Menon S, Singh H, Giardina TD, et al. Safety huddles to proactively identify and address electronic health record safety. J Am Med Inform Assoc. 2017;24(2):261-267. doi:10.1093/jamia/…

  8. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. | PSNet

    psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts-veterans-affairs-hospitals
    January 02, 2017 - Study Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Citation Text: Mills PD, DeRosier JM, Ballot BA, et al. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Jt Comm J Qual Patient Saf. 2008;34(8):482-488. Copy Citation Format: Go…

  9. For children admitted to hospital, what interventions improve medication safety on ward rounds? | PSNet

    psnet.ahrq.gov/issue/children-admitted-hospital-what-interventions-improve-medication-safety-ward-rounds
    July 29, 2020 - Review For children admitted to hospital, what interventions improve medication safety on ward rounds? Citation Text: King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication safety on ward rounds? A systematic review. Arch Dis Child. 2023;…

  10. Diagnostic errors in pediatric critical care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-pediatric-critical-care-systematic-review
    April 06, 2016 - Review Diagnostic errors in pediatric critical care: a systematic review. Citation Text: Cifra CL, Custer J, Singh H, et al. Diagnostic errors in pediatric critical care: a systematic review. Pediatr Crit Care Med. 2021;22(8):701-712. doi:10.1097/pcc.0000000000002735. Copy Citation …

  11. Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. | PSNet

    psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde
    November 30, 2022 - Study Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. Citation Text: Dadlez NM, Adelman JS, Bundy DG, et al. Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. Ped Qual Saf. 2020;5(3):e299-e305. doi:10.1097/pq9.…

  12. The Economic Measurement of Medical Errors. | PSNet

    psnet.ahrq.gov/issue/economic-measurement-medical-errors
    March 23, 2022 - Book/Report The Economic Measurement of Medical Errors. Citation Text: The Economic Measurement of Medical Errors. Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010. Copy Citation Save Save t…

  13. Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. | PSNet

    psnet.ahrq.gov/issue/referrals-infection-control-breaches-public-health-authorities-ambulatory-care-settings
    December 09, 2020 - Study Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. Citation Text: Braun B, Chitavi SO, Perkins KM, et al. Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. J…

  14. Cost of health care-associated infections in the United States. | PSNet

    psnet.ahrq.gov/issue/cost-health-care-associated-infections-united-states
    November 02, 2022 - Study Cost of health care-associated infections in the United States. Citation Text: Forrester JD, Maggio PM, Tennakoon L. Cost of health care-associated infections in the United States. J Patient Saf. 2022;18(2):e477-e479. doi:10.1097/pts.0000000000000845. Copy Citation Format: …

  15. Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study. | PSNet

    psnet.ahrq.gov/issue/sustaining-reductions-catheter-related-bloodstream-infections-michigan-intensive-care-units
    May 25, 2011 - Study Classic Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study. Citation Text: Pronovost P, Goeschel CA, Colantuoni E, et al. Sustaining reductions in catheter related bloodstream infections…

  16. How hospital leaders contribute to patient safety through the development of trust. | PSNet

    psnet.ahrq.gov/issue/how-hospital-leaders-contribute-patient-safety-through-development-trust
    January 22, 2014 - Study How hospital leaders contribute to patient safety through the development of trust. Citation Text: Auer C, Schwendimann R, Koch R, et al. How hospital leaders contribute to patient safety through the development of trust. J Nurs Adm. 2014;44(1):23-9. doi:10.1097/NNA.00000000000000…

  17. Communication through the electronic health record: frequency and implications of free text orders. | PSNet

    psnet.ahrq.gov/issue/communication-through-electronic-health-record-frequency-and-implications-free-text-orders
    May 12, 2021 - Study Communication through the electronic health record: frequency and implications of free text orders. Citation Text: Kandaswamy S, Hettinger AZ, Hoffman DJ, et al. Communication through the electronic health record: frequency and implications of free text orders. JAMIA Open. 2020;3(2…

  18. A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. | PSNet

    psnet.ahrq.gov/issue/qualitative-analysis-outpatient-medication-use-community-settings-observed-safety
    October 26, 2022 - Study A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. Citation Text: Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community Setting…

  19. Reported medication errors after introducing an electronic medication management system. | PSNet

    psnet.ahrq.gov/issue/reported-medication-errors-after-introducing-electronic-medication-management-system
    November 18, 2016 - Study Reported medication errors after introducing an electronic medication management system. Citation Text: Redley B, Botti M. Reported medication errors after introducing an electronic medication management system. J Clin Nurs. 2013;22(3-4):579-89. doi:10.1111/j.1365-2702.2012.04326.…

  20. Ambulatory computerized prescribing and preventable adverse drug events. | PSNet

    psnet.ahrq.gov/issue/ambulatory-computerized-prescribing-and-preventable-adverse-drug-events
    June 11, 2014 - Study Ambulatory computerized prescribing and preventable adverse drug events. Citation Text: Overhage JM, Gandhi TK, Hope C, et al. Ambulatory Computerized Prescribing and Preventable Adverse Drug Events. J Patient Saf. 2016;12(2):69-74. doi:10.1097/PTS.0000000000000194. Copy Citation…
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